IAN MACKICHAN

URBANA, IL
NPI1699388009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022458)
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
IAN MACKICHAN MSW LCSW CADC
507 SPRINGFIELD AVE
URBANA, IL 61801-3108
Phone number: 217-377-2211
Mailing Address
IAN MACKICHAN MSW LCSW CADC
507 SPRINGFIELD AVE
URBANA, IL 61801-3108
Phone number: 217-377-2211
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